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Acute otitis externa: what are the important outcomes?

2 March 2022 | | ENTA-Audiology - Adult, ENTA-Otology
Matthew Smith discusses a project looking at outcomes of acute otitis externa interventions, and how, going forward, the INTEGRATE team are working with patients to develop outcome measures. Acute otitis externa (AOE) is one of the most common conditions of...

When should revision FESS leave you reaching for the script pad?

5 November 2021 | | ENTA-Rhinology / Sinus
This very interesting work from the professorial team in London seeks to define a group of patients with CRSwNP who may benefit from early biological treatment since they are at risk of failure of surgical and conventional medical management. Approximately...

The vitamin D deficiency and recurrent BPPV debate revisited

4 May 2021 | | Neurotology, ENTA-Vestibular Disorders | BPPV, T-score, Vitamin D, osteopenia, osteoporosis
The role of calcium metabolism and disorders of bone mineral density in the evolution and recurrence of BPPV has been debated over the years. As a contribution to this debate, the authors undertook a prospective study into the correlation between...

Predicting CSF leaks pre FESS: Gera classification - a new tool?

1 March 2019 | | ENTA-Rhinology / Sinus
An interesting study from Italy looking at an anterior skull base classification that may be useful in predicting risk of intraoperative CSF leak during FESS surgery. Traditionally we have used the Keros classification system, developed in 1962 to categorise olfactory...

Monitored safe medical practice: minimising patient harm will reduce medical negligence bill for the NHS

1 September 2018 | | ENTA-ENT
Patrick Bradley ruminates on a celebrated career in ENT head and neck surgery and suggests that increasing the possibility of positive outcomes to contemporary patient safety initiatives by the NHS must involve efforts to develop an enthusiastic contented workforce willing...

The effects of polypharmacy in the elderly

1 November 2016 | | ENTA-Audiology - Adult, ENTA-Vestibular Disorders
Another pill to cure the ill? Alec Lapira discusses the warning signs of polypharmacy in the elderly population. Polypharmacy in the elderly Polypharmacy – defined as the use of five or more medications – occurs in 20–37% of older people...

AUDIOLOGY - In conversation with Yury Konstantinovich Yanov

1 July 2016 | | ENTA-Audiology - Adult, ENTA-ENT
Focussing on trauma and the military, it is fitting to include this interview with ENT Professor and Russian Army General Yury Konstantinovich Yanov. Professor Gerard O’Donoghue had the honour of putting some questions to this eminent figure in Russian ENT,...

Rhinoplasty for cleft nose deformity

1 July 2019 | | ENTA-ENT, ENTA-Maxillofacial Surgery, ENTA-Rhinology / Sinus, ENTA-Rhinoplasty
Modern cleft lip and palate repairs produce excellent functional and aesthetic results at an early age. Tony Holmes, a craniofacial surgeon with over 40 years’ experience, shares his wisdom on the best timing and techniques for addressing the associated complex...

Cutting burr otoplasty and conchal setback to correct prominent pinna: a ‘step by step approach’

1 January 2015 | | ENTA-Otology
Prominent ears can cause significant social and psychological effects on an individual. The two most common anatomical defects for a prominent pinna are an underdeveloped anti-helical fold and / or enlarged conchal bowl. In the senior author’s practice over the...

Doctors’ health and wellbeing: depression in surgeons

1 January 2014 | | ENTA-ENT
Dr Clare Gerada and Richard Jones work for the Practitioner Health Programme (PHP), a specialist service for doctors and dentists in the London area with mental health / addiction problems (www.php.nhs.uk). Here they discuss some of their preliminary findings (specific...

Intraoperative nerve monitoring: 2017

1 July 2017 | | ENTA-ENT, ENTA-Head & Neck, ENTA-Laryngology / Swallowing / Voice, ENTA-Thyroid / Parathyroid Surgery
Having written the definitive text on laryngeal nerves, Gregory Randolph and Dipti Kamani describe the benefits of intraoperative neural monitoring and, importantly, how to proceed if the nerve is pathologically involved or there is loss of signal. Over the years,...

Cochlear implants and therapeutics: a natural partnership?

2 September 2022 | | ENTA-ENT, ENTA-Auditory Implants
Global awareness of cochlear implants as a solution for hearing loss is slowly increasing and gaining acceptance. The potential for combining cochlear implants with inner ear therapeutics is immense, with promise in several areas. This article takes us on a...